REGISTRATION FORM            Date:

Student Name(s):
Preferred name:
Male/Female:
Grade & School:
Age & Birthday:
Address


Phone:
Family email:
Mother's Name, Occupation, Work phone, cell phone:

Father's Name, Occupation, Work phone, cell phone:

Emergency Contact:
Physical or Mental conditions we should be made aware of:

Previous experience:

How did you hear about Debut?

Class(es) you are enrolling in:

Any known absent dates:
Please read the following Medical permission and Physical Waiver:
I give Debut Theatre Company staff permission to seek medical treatment for my child in case of emergency in which I cannot be reached.
Parent or Guardian initials:
I understand that there are inherent physical dangers involved with theatre (not limited to power tools, sewing necessities, raised sets, lighting instruments and costume weapons) and I agree to waive any responsibility on the part of Debut Theatre Company for injuries caused by such that were not the result of gross negligence on behalf of Debut Theatre Company.
Parent or Guardian initials:
I understand by signing this form I agree to the terms which I have initialed here. I understand that Debut Theatre Company has the right to refuse my registration if this form lacks proper initials or signatures.

We have read the Medical permission and Physical Waiver as well as the "Your Role" section of this website. We agree to to follow the expectiations as they are outlined.

Parent or Guardian signature:
Student Signature:


Please indicate the amount of tuition enclosed here:

Tuition, part or in full, must be enclosed to register.If there is full enrollment, Tutiton will be returned. For enrolled students, no refunds will be given after the first day of class.